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Organization
THE AUTISM IMPACT CIRCLE
Active
Organization
THE AUTISM IMPACT CIRCLE
Active
Other names
The Autism Impact Circle
Organization subpart
No
Provider details
NPI number
Authorized official
MARINA ROTHWAY ED.D., BCBA (BCBA, LLC OWNER)
(831) 331-8529
Entity
Organization
Contact information
Practice address
9015 SAGE RD, OAKLAND, CA 94605-4603
(831) 331-8529
Mailing address
201 13TH ST # 32491, OAKLAND, CA 94612-3921
(510) 969-7844
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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